[ value of ambulatory hysteroscopy diagnostic. About 292 cases]

This is a retrospective study including 292 ambulatory diagnostic hyst‚roscopies realised during a period of 1 year and a half. The mid age of our patients is 44 years. The main indications are haemorrhage, infertility and abnormal ultrasound findings. The exams are carried out under analgesia. Its sensibility is good concerning the endom‚trial pathology. As a matter of fact, it equals 100% for ad‚nocarcinomas, it varies from 56.5 to 77.3% for hyperplasia, 100% for endom‚trial polyps and from 88 to 90% for endom‚trial atrophy. In contrast, it is worse for the myometrial pathology such as ad‚nomyose and sub mucosal myomas. Besides its sensibility, the tolerance of this exam allows its ambulatory realisation permitting a considerable economy

[Aspects foetopathologiques de 97 cas d'anencephalie: etude du CMNR Tunis]

So, the epidemiologic study done for 8 years at CMNR Tunis has shown that the incidence is 1,15%o births [between 0,52 and 1,66%o per year]. This anomaly is more frequent in Female sex [sex linked = 0,59]. The antenatal echographic diagnosis is efficient in 90,5%. This anomaly is more shown at low socio-economic group. The improvement of the socio-economic level and specially the daily uptake of acid folic in periconceptionnel time decrease the frequency of this congenital malformation

[Foetopathology study: 88 cases of spina bifida]

Letal spina bifida continue to be frequent in Tunisia; we report 88 cases of letal spina bifida 1,05 per thousand births. This pathology was more frequent with women. The up letal spina bifida situated is predominant with female and the dow spina bifida situated is frequent with male. We have noted an association with anencephalia [46 cases] and hydrocephaly [21 cases]. Prevention is based on obstetric health care and hygieno dietetic advices to avoid alimentary deficit

About 102 post term pregnancy

It was a retrospective and continous prospective study about 102 post-term pregnancy recensed on a 14 monthds period. The aim of this study is to evaluate our management of post term pregnancy and the peto-maternal mobidity and mortality. Frequency of post-term pregnancy in our stydy is 5.92 percent, in rate of cession sector is not higher it is of 18.62. there is no maternal mortality. Neonatal mortality is a about 19 percent, the rate of neonatal morbidity is 2.9 percent

Diagnostic prenatal de la Toxoplasmose congenitale: Apport du PCR test sur liquide amniotique

The PCR test on amniotic fluid is safe, rapid and highly performant in the prenatal diagnosis of congenital toxoplasmosis. We report six cases of pergravidic toxoplasmosis seroconversion. Prenatal diagnosis was based exclusively on the PCR test, which was positif in only one case. The foetal infection rate was 17%. In the five other cases, the PCR test was negative and five infants were born at term. At a year, the neonatal survey, didn't found any toxoplasmic manifestation